|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$858.00 |
$858.00 |
$858.00 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$858.00 |
$858.00 |
$858.00 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$858.00 |
$858.00 |
$858.00 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,828.80
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,687.50
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$858.00 |
$858.00 |
$858.00 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$858.00 |
$858.00 |
$858.00 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$858.00 |
$858.00 |
$858.00 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$858.00 |
$858.00 |
$858.00 |
$473.00
|
|
Clsd tx wrist carpal fx without manip 25630
|
$858.00 |
$858.00 |
$858.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$858.00 |
$858.00 |
$858.00 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$858.00 |
$858.00 |
$858.00 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$858.00 |
$858.00 |
$858.00 |
$487.15
|
|
Cltx hum epcndylr fx wo mnpj
|
$858.00 |
$858.00 |
$858.00 |
$525.75
|
|
Cltx scap fx w/mnpj +-tractj
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$2,021.04
|
|
#cmvcul-virus inoculation shell
|
$90.00 |
$90.00 |
$90.00 |
$89.76
|
|
Cmv pcr-sendout
|
$161.00 |
$161.00 |
$161.00 |
$175.70
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$26,900.00 |
$26,900.00 |
$26,900.00 |
$11,888.50
|
|
Coagulation time activated teg
|
$20.00 |
$20.00 |
$20.00 |
$52.47
|
|
Cocaine 4 % nasal solution
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$630.04
|
|
Cold agglutinin titer
|
$37.00 |
$37.00 |
$37.00 |
$52.00
|
|
Colistimethate sodium inj
|
$117.60 |
$117.60 |
$117.60 |
$82.71
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$440.00 |
$440.00 |
$440.00 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$275.00 |
$275.00 |
$275.00 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$466.00 |
$466.00 |
$466.00 |
$155.40
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$11,441.00 |
$11,441.00 |
$11,441.00 |
$3,907.93
|
|
Compatibility test each unit antiglobulin technique
|
$573.00 |
$573.00 |
$573.00 |
$173.50
|
|
Compatibility test incubate
|
$573.00 |
$573.00 |
$573.00 |
$156.24
|
|
Complement antigen each component c3
|
$55.00 |
$55.00 |
$55.00 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$601.00 |
$601.00 |
$601.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$1,499.00 |
$1,499.00 |
$1,499.00 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$1,107.60
|
|
Complx repair fccmnaxghf 13133
|
$732.00 |
$732.00 |
$732.00 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$732.00 |
$732.00 |
$732.00 |
$508.44
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$1,012.00
|
|
Complx repair trunk addl 5cm/< 13102
|
$732.00 |
$732.00 |
$732.00 |
$537.00
|
|
Concentration infection agents any type
|
$31.00 |
$31.00 |
$31.00 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$2,356.90 |
$2,356.90 |
$2,356.90 |
$3,352.21
|
|
Condylomata destruction 56420
|
$716.00 |
$716.00 |
$716.00 |
$467.35
|
|
Conivaptan hcl
|
$2,228.40 |
$2,228.40 |
$2,228.40 |
$1,625.08
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,582.91 |
$1,582.91 |
$1,582.91 |
$860.00
|
|
Consultation pathology during surgery
|
$145.00 |
$145.00 |
$145.00 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$3,255.00 |
$3,255.00 |
$3,255.00 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$102.00 |
$102.00 |
$102.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$659.00 |
$659.00 |
$659.00 |
$226.50
|
|
Contrast baths charges
|
$76.00 |
$76.00 |
$76.00 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$10,857.00 |
$10,857.00 |
$10,857.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$18,732.00 |
$18,732.00 |
$18,732.00 |
$3,745.00
|
|
Contrast x-ray of ankle
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$684.00
|
|
Contrast x-ray of elbow
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$708.00
|
|
Contrast x-ray of hip
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$796.38
|
|
Contrast x-ray of knee joint
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$790.50
|
|
Contrast x-ray of wrist
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$667.50
|
|
Controller infinity pt dbs
|
$1,655.21 |
$1,655.21 |
$1,655.21 |
$4,836.44
|
|
Control nosebleed pack+caut 30905
|
$466.00 |
$466.00 |
$466.00 |
$383.52
|
|
Control nose/throat bleeding w/pst nsl packs 42970
|
$877.00 |
$877.00 |
$877.00 |
$644.80
|
|
Control of nosebleed ant comp 30903
|
$564.00 |
$564.00 |
$564.00 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$509.00 |
$509.00 |
$509.00 |
$352.80
|
|
Control oropharyngeal hemorr/simp 42960
|
$1,835.00 |
$1,835.00 |
$1,835.00 |
$620.00
|
|
Coombs direct
|
$226.00 |
$226.00 |
$226.00 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$573.00 |
$573.00 |
$573.00 |
$107.25
|
|
Coombs indirect titer reference
|
$573.00 |
$573.00 |
$573.00 |
$156.71
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$17,500.00 |
$17,500.00 |
$17,500.00 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$17,500.00 |
$17,500.00 |
$17,500.00 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$17,500.00 |
$17,500.00 |
$17,500.00 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$17,500.00 |
$17,500.00 |
$17,500.00 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$17,500.00 |
$17,500.00 |
$17,500.00 |
$7,988.40
|
|
Cortisol total am
|
$75.00 |
$75.00 |
$75.00 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$447.64 |
$447.64 |
$447.64 |
$189.22
|
|
Coveredge 32 lead kit 40cm 48
|
$24,781.80 |
$24,781.80 |
$24,781.80 |
$4,180.79
|
|
Covid-19 lab test non-cdc
|
$236.00 |
$236.00 |
$236.00 |
$82.40
|
|
#coxa-coxsackie a serotype a16
|
$60.00 |
$60.00 |
$60.00 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$711.00 |
$711.00 |
$711.00 |
$584.50
|
|
C-peptide
|
$96.00 |
$96.00 |
$96.00 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$1,021.00 |
$1,021.00 |
$1,021.00 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$1,330.02
|
|
C-reactive protein
|
$26.00 |
$26.00 |
$26.00 |
$69.36
|
|
C-reactive protein high sensitivity
|
$60.00 |
$60.00 |
$60.00 |
$85.50
|
|
Creatine kinase
|
$32.00 |
$32.00 |
$32.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$62.00 |
$62.00 |
$62.00 |
$56.20
|
|
Creatine kinase mb
|
$53.00 |
$53.00 |
$53.00 |
$113.63
|
|
Creatinine
|
$25.00 |
$25.00 |
$25.00 |
$46.20
|
|
Creatinine 24 hour urine
|
$25.00 |
$25.00 |
$25.00 |
$57.85
|
|
Creatinine clearance urine
|
$44.00 |
$44.00 |
$44.00 |
$90.26
|
|
#creutz-prot.,western blot
|
$135.00 |
$135.00 |
$135.00 |
$163.50
|
|
Critical care each additional 30 minutes
|
$750.00 |
$750.00 |
$750.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$4,150.00 |
$4,150.00 |
$4,150.00 |
$2,535.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$5,887.06 |
$5,887.06 |
$5,887.06 |
$4,288.58
|
|
Crotalidae poly immune fab
|
$11,858.18 |
$11,858.18 |
$11,858.18 |
$5,760.00
|
|
Cryofibrinogen qualitative - sendout
|
$66.00 |
$66.00 |
$66.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$298.00 |
$298.00 |
$298.00 |
$144.78
|
|
Cryptococcus abs qn - sendout
|
$67.00 |
$67.00 |
$67.00 |
$89.70
|
|
Cryptosporidium antigen
|
$55.00 |
$55.00 |
$55.00 |
$52.08
|
